The connection between your sinuses and your balance is primarily structural.
| Feature | | Inner Ear (BPPV) | | :--- | :--- | :--- | | Trigger | Bending forward, rapid weather changes, blowing nose | Rolling over in bed, looking up | | Duration | Days of constant lightheadedness + spells | 30–60 second bursts of violent spinning | | The "Nose Clue" | Vertigo improves when you decongest | Decongestants do nothing | | Pain | Facial pressure, toothache, ear fullness | No pain, just spinning | sinus infection vertigo
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